Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11495 | Date 09/05/2024 |
| Token No | SM/25-26/923 21/06/2025 | Serial | 007 |
| Patient Name | Mrs. PARAMITA PAUL | Contact No | 9038223749 |
| Address | 51 dosti lane. | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||